Individual
DR. TYLER VACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 CHERRY LN STE 116, MANTECA, CA 95337-4398
(209) 647-2184
Mailing address
250 CHERRY LN STE 116, MANTECA, CA 95337-4398
(209) 647-2184
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A151542
CA
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
03/18/2026
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